1 概念枕后神经痛是临床常见疾病,其诊断标准尚不明确,可归为紧张性头痛的分类中。根据国际疼痛学会规定,神经痛是指一定的神经分布区域的疼痛,以发作性为主。枕后神经痛的定义是第二颈神经后根分布区的深部疼痛。由国际疼痛学会定义为枕大神经及枕小神经分布区域的发作性针刺样疼痛(图1)。总之,临床上把枕大神经、枕小神经感觉支配区域的疼痛,除神经炎所致的疼痛外均称为枕后神经痛。 1 concept Posterior occipito neuralgia is a common clinical disease, the diagnostic criteria are not clear, can be classified as a classification of tension headache. According to the International Society of Pain Medicine, neuralgia refers to a certain area of ​​pain in the nerve distribution, with the main attack. Posterior occipitocervical pain is defined as deep pain in the posterior root distribution of the second cervical nerve. Acupuncture-like pain, defined by the International Society of Pain as a region of great occipital and occipitocervix (Figure 1). In short, the clinical occipitocervical, occipital nerve sensory control of pain in the area, in addition to the pain caused by neuritis are known as posterior occipital neuralgia.